Individual
MISS FLORTASHA LARAY PULLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087-3306
(470) 444-3134
(470) 276-4370
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201141801RN
OR
207Q00000X
Family Medicine Physician
2018017288
OR
207Q00000X
Family Medicine Physician
RN331904
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP331904
GA
363LF0000X
Family Nurse Practitioner
RN331904
GA
Other
Enumeration date
02/04/2013
Last updated
03/31/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us